Individual
DR. STEVEN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 ST LAWRENCE DR, SUITE 201, TIFFIN, OH 44883-8310
(419) 455-8501
(419) 455-8504
Mailing address
45 ST LAWRENCE DR, SUITE 201, TIFFIN, OH 44883-8310
(419) 455-8501
(419) 455-8504
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35037285
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0413127
—
OH
Enumeration date
09/21/2006
Last updated
07/08/2014
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